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In response to the failures of B12 therapy by MDs, naturopathic doctors (NDs) claimed that typical B12 shots used cyanocobalamin, an inactive form of B12 that didnt work well

Unopened vials remain stable at controlled room temperature (2025C) for 2436 months because the sterile seal prevents contamination

doi:10.1212/CPJ.0000000000000043 Who Performs the Injections Doctors who administer this type of injection include spine and pain management specialists, such as physiatrists, anesthesiologists, radiologists, neurologists, and spine surgeons

Those familiar with other injectable medications like Victoza often find the transition easier

However, taking them together isnt likely to bring any negative side effects